Provider Demographics
NPI:1295441426
Name:DELLORSO, JULI ALIZABETH (MS)
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:ALIZABETH
Last Name:DELLORSO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JULI
Other - Middle Name:ALIZABETH
Other - Last Name:GREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:465 OAKTREE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-4739
Mailing Address - Country:US
Mailing Address - Phone:540-580-5805
Mailing Address - Fax:
Practice Address - Street 1:465 OAKTREE BLVD
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-4739
Practice Address - Country:US
Practice Address - Phone:540-315-1331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health